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JobsJobs in WashingtonJobs in Graham, WAHealthcare Jobs in Graham, WAMedical Billing and Coding JobsCoding Jobs in Graham, WA
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Coding Jobs in Graham, WA

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    Health Information Technology / Management Professor - Part-Time Tacoma Community College

    Health Information Technology / Management Professor - Part-Time
    Tacoma WA 98466, WA, WA30+ days ago
    • $1,302.44–$1,489.10 Per Month

    Moreover, TCC stands in solidarity with Black Lives Matter and the Black community by further strengthening collaboration with the Black Student Union as well as community entities such as the Tacoma-Pierce County Black Collective, the Tacoma Urban League, and local black-owned businesses. We are specifically focusing on improved support for traditionally marginalized populations, including Black/African- American, Indigenous, People of Color, Dreamers, justice-involved, immigrants and refugees, Veterans, people with disabilities, and the LGBTQ+ community.

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    New!

    Coding Consultant I, II, or III DOE Cambia Health Solutions

    Coding Consultant I, II, or III DOE
    Tumwater, WA5 days ago
    • Full-time
    • Employee

    Coding Review Consultant: Certification in at least 1 of the following is required at the time of hire, and throughout tenure in job: Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), RHIT (Registered Health Information Technician), or RHIA (Registered Health Information Administrator). * Identify trends and patterns; collate audit results and analyze findings; identify root cause analysis; and identify system issues that may contribute to claims, coding, provider contracting and revenue cycle deficiencies.

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    Senior Director CDI and Coding - Remote Providence St. Joseph Health

    Senior Director CDI and Coding - Remote
    Renton, WA30+ days ago
    Remote
    • Full-time
    • Employee

    This position is responsible for process improvement work to optimize people, processes and technology utilized for specific revenue cycle functions by Providence and Providence vendors building effective partnerships and promoting collaborative relationships with Providence leaders, caregivers and multiple vendors. Demonstrates service excellence and positive interpersonal relations in dealing with others, including patients/families/members, employees, managers, medical staff, volunteers, vendors and community members, so that positive relations are maximized.

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    Senior Director CDI and Coding - Remote Most States Eligible Providence St. Joseph Health

    Senior Director CDI and Coding - Remote Most States Eligible
    Renton, WA30+ days ago
    Remote
    • Full-time
    • Employee

    This position is responsible for process improvement work to optimize people, processes and technology utilized for specific revenue cycle functions by Providence and Providence vendors building effective partnerships and promoting collaborative relationships with Providence leaders, caregivers and multiple vendors. Demonstrates service excellence and positive interpersonal relations in dealing with others, including patients/families/members, employees, managers, medical staff, volunteers, vendors and community members, so that positive relations are maximized.

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    HB Coding Supervisor MultiCare Health System

    HB Coding Supervisor
    Tacoma, WA1 day ago
    • Full-time
    • Employee

    The Supervisor works closely with the vendor coding team to ensure complete, accurate, and timely coding & billing, management or work queues to include denials, and claim edits; oversees coding staff/coding vendor to complete accurate and timely coding/billing of charges, management of denials, and claim edits; ensures maintenance and completion of compliance audits for the coding staff/coding vendor and provides coverage for the Directors of Coding, as needed. If your purpose and passions align with ours, you'll find a place to grow, do meaningful work and build a career you love in a community that feels like home.

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    PB Coding Supervisor MultiCare Health System

    PB Coding Supervisor
    Tacoma, WA1 day ago
    • Full-time
    • Employee

    The Supervisor works closely with the vendor coding team to ensure complete, accurate, and timely coding & billing, management or work queues to include denials, and claim edits; oversees coding staff/coding vendor to complete accurate and timely coding/billing of charges, management of denials, and claim edits; ensures maintenance and completion of compliance audits for the coding staff/coding vendor and provides coverage for the Directors of Coding, as needed. If your purpose and passions align with ours, you'll find a place to grow, do meaningful work and build a career you love in a community that feels like home.

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    New!

    Supervisor Coding Highmark Health

    Supervisor Coding
    Olympia, WA4 days ago

    QUALIFICATIONS** **Minimum** + Associates Degree in a Health Information related field or 4 years of experience in lieu of Associate's degree + 3 years experience as a production coder related to the coding team being supervised which includes assigning ICD-10-CM codes, ICD-10-PCS codes (inpatient), CPT/HCPCS codes. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $30.10 **Pay Range Maximum:** $48.54 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.

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    Profee Coding Consultant - Full Time Datavant

    Profee Coding Consultant - Full Time
    Olympia, WA22 days ago
    • $20–$28 Per Hour

    Demonstrate strong written and verbal communication skills + Identify documentation improvement opportunities and coding issues + Use VPN access to ensure productive and flexible task completion + Uphold Datavant and HIM Division policies, promoting a culture of compliance and operational efficiency. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.

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    Profee Coding Consultant - PRN Datavant

    Profee Coding Consultant - PRN
    Olympia, WA22 days ago
    • $20–$28 Per Hour

    Demonstrate strong written and verbal communication skills + Identify documentation improvement opportunities and coding issues + Use VPN access to ensure productive and flexible task completion + Uphold Datavant and HIM Division policies, promoting a culture of compliance and operational efficiency. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.

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    Lead Coordinator, Coding & Billing Cardinal Health

    Lead Coordinator, Coding & Billing
    Olympia, WA8 days ago
    • $22.30–$28.80 Per Hour

    Serve as liaison between providers, operations, and Revenue Cycle teams.** **- Participate in continuous improvement initiatives.** **_Qualifications_** **Active coding certification required (CPC, CCS, CRC, RHIA, or RHIT).** **4-8 years Revenue Cycle experience with specialty coding focus preferred** **Strong expertise in Radiation Oncology, Urology, Imaging preferred** **Strong knowledge of ICD-10-CM, CPT, HCPCS, Medicare, Medicaid, Managed Care.** **Bachelor's degree or equivalent experience preferred** **Prior Lead, Senior Coder, or Auditor experience preferred** **Experience with GE Centricity, Unlimited financials and Power BI** **Strong analytical, organizational, and communication skills** **Ability to influence through expertise in a fast-paced environment** **_What is expected of you and others at this level_** **Takes the lead in effectively applying and teaching new processes and skills in order to accomplish a wide variety of assignments** **Comprehensive knowledge in technical or specialty area** **Ability to apply knowledge beyond own areas of expertise** **Performs the most complex and technically challenging work within area of specialization** **Preempts potential problems and provides effective solutions for team** **Works independently to interpret and apply company procedures to complete work** **Provides guidance to less experienced team members** **Anticipated hourly range:** **$22.30 The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient's account balance is zero.** **The Lead, Coding & Billing is a hands-on senior individual contributor who provides advanced coding expertise and day-to-day operational leadership for pre-submission billing and specialty coding activities supporting Radiation Oncology, Urology and Imaging, This role supports management by ensuring high-quality coding, clean claim submission, denial prevention, and workflow accountability while serving as the primary escalation point for complex coding and billing issues.**

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    Lead Reimbursement Specialist - Physicians Billing Providence St. Joseph Health

    Lead Reimbursement Specialist - Physicians Billing
    Renton, WA30+ days ago
    • Full-time
    • Employee

    Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care.

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    Clinical Documentation Specialist for Professional Billing (PB) MultiCare Health System

    Clinical Documentation Specialist for Professional Billing (PB)
    Tacoma, WA30+ days ago
    • Full-time
    • Employee

    The Clinical Documentation Specialist for Professional Billing (PB) conducts billing integrity reviews/audits, including reviewing billing submitted with all supporting clinical documentation to assess the extent to which applicable documentation and coding criteria have been met and to identify clinical documentation improvement opportunities. This position will work remotely but primary residence cannot be located in the following states:California, Connecticut, Florida, Hawaii, Illinois, Louisiana, Maryland/Washington DC, Massachusetts, Missouri, New Jersey, New York, Pennsylvania, and Vermont.

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    Senior Charge Description Master Specialist - FT/Day Providence St. Joseph Health

    Senior Charge Description Master Specialist - FT/Day
    Renton, WA30+ days ago
    • Full-time
    • Employee

    The Senior CDM Specialist responds to Hospital ministry inquiries regarding Chargemaster issues and is responsible for the training of Hospital ministry staff regarding the CDM Maintenance process, coding updates and charge capture improvement. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.

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    Senior Charge Description Master Specialist - Remote - Most States Eligible Providence St. Joseph Health

    Senior Charge Description Master Specialist - Remote - Most States Eligible
    Renton, WA30+ days ago
    Remote
    • Full-time
    • Employee

    The Senior CDM Specialist responds to Hospital ministry inquiries regarding Chargemaster issues and is responsible for the training of Hospital ministry staff regarding the CDM Maintenance process, coding updates and charge capture improvement. The Senior CDM Specialist acts as a resource to other CDM Specialists in the research and resolution of requests in a timely manner; and is responsible for the training and skill development of the CDM Specialists to maximize available tools for chargemaster compliance.

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    Charge Description Master Specialist - Full Time, Day, Remote Providence St. Joseph Health

    Charge Description Master Specialist - Full Time, Day, Remote
    Renton, WA29 days ago
    Remote
    • Full-time
    • Employee

    As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.

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    Charge Description Master Specialist - Full time, Day, Remote Providence St. Joseph Health

    Charge Description Master Specialist - Full time, Day, Remote
    Renton, WA13 days ago
    Remote
    • Full-time
    • Employee

    As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.

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    Appeals Specialist I Cambia Health Solutions

    Appeals Specialist I
    Tacoma, WA30+ days ago
    • Full-time
    • Employee

    Make non-clinical appeal determinations as permitted by department business processes and guidelines; follow processes to receive clinical review and decisions from licensed health professionals; present complex cases to appeal panels; document decisions and communicate determinations to members, providers. * Ability to switch from one task or type of work to another as business needs require while effectively prioritizing work to meet strict timelines and maintaining quality and consumer-centric focus.

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    Supervisor Health Plan Operations - USFHP Providence St. Joseph Health

    Supervisor Health Plan Operations - USFHP
    Renton, WA30+ days ago
    • Full-time
    • Employee

    Responsibilities include ensuring accurate and timely accounting to Pacific Medical Center's revenues and expenses for Outside Purchased Services (OPS), timely and accurate processing of claims and materials needed for accurate adjudication of claims. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.

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    Medical Billing and Coding Specialist Nisqually Indian Tribe

    Medical Billing and Coding Specialist
    Olympia, WA14 days ago

    In compliance with Federal Law, this position will not be filled by an applicant with any felonious offense or any of two or more misdemeanor offenses under Federal, State, or Tribal law involving crimes of violence; sexual assault, molestation, exploitation, contact, or prostitution; crimes against persons; or offenses committed against children. •Enters patient information into the RPMS Computer Database; determines proper CPT, ICD9 or other appropriate coding; then codes and enters data for visits, sessions or other billable program services.

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    Risk Adjustment Auditor II Cambia Health Solutions

    Risk Adjustment Auditor II
    Renton, WA30+ days ago
    • $68,900–$93,150 Per Year
    • Full-time
    • Employee

    As a member of the Risk Adjustment team, our Risk Adjustment Auditors perform Retrospective/Prospective chart reviews both on and off-site utilizing various types of records to ensure accurate risk adjustment reporting. What You Bring to Cambia: Qualifications: Risk Adjustment Auditor II would have an Associate degree in Healthcare or related field and three years of experience in clinical coding or auditing or equivalent combination of education and experience.

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    Inpatient Medical Coding Auditor Humana

    Inpatient Medical Coding Auditor
    Olympia, WA8 days ago
    Remote
    • $71,100–$97,800 Per Year

    Required Qualifications | What it takes to Succeed** - RHIA, RHIT or CCS Certification (should have held at least one of these qualifications for 4 years) - MS-DRG coding/auditing experience - Experience reading and interpreting claims - Experience in performing inpatient coding reviews/ audits in health insurance and/or hospital settings - Working knowledge of Microsoft Office Programs Word, PowerPoint, and Excel - Strong attention to detail - Can work independently and determine appropriate course of action - Ability to handle multiple priorities - Capacity to maintain confidentiality - Excellent communication skills both written and verbal **Preferred Qualifications** - Experience in APR DRG coding/auditing - Experience in Financial Recovery - Experience in a fast paced, metric driven operational setting **Additional Information** **Work at Home Requirements** - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested - Satellite, cellular and microwave connection can be used only if approved by leadership - Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments.

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    DRG Denial Prevention Clinical Documentation Specialist MultiCare Health System

    DRG Denial Prevention Clinical Documentation Specialist
    Tacoma, WA30+ days ago
    • Full-time
    • Employee

    The incumbent is fully responsible for clinical related DRG denials; writes appeals, collects and analyzes denial data, educates staff on all areas of opportunity and works with CDI leadership across the MultiCare Health System to facilitate knowledge and proficiency in all aspects of HB CDI to assist leadership reach their department annual goals. The Diagnosis Related Grouping (DRG) Denial Prevention Clinical Documentation Specialist (CDS) is responsible for all Hospital Billing Clinical Documentation Integrity (HB CDI) across the system and serves as expert in the field.

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    Revenue Integrity Analyst - Contracting Administration Providence St. Joseph Health

    Revenue Integrity Analyst - Contracting Administration
    Lacey, WA26 days ago
    • Full-time
    • Employee

    The Revenue Integrity Analyst is a key resource within the Quality Improvement/Finance Department, responsible for analyzing professional revenue cycle performance and identifying opportunities to optimize collections, clean claims, denials, and fee-for-service revenue. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.

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    HEDIS Medical Record Analyst - TEMP Cambia Health Solutions

    HEDIS Medical Record Analyst - TEMP
    Tacoma, WA30+ days ago
    • Full-time
    • Employee

    The HEDIS Medical Record Analyst's primary responsibilities will be to retrieve, abstract, or overread medical records in order to capture pertinent, required, data elements for HEDIS reporting. Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history.

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    Stop Loss Underwriting Specialist Cambia Health Solutions

    Stop Loss Underwriting Specialist
    Renton, WA2 days ago
    • Full-time
    • Employee

    Additionally, they complete travel and expenses for stop loss director and team when applicable, and provide other administrative support as directed - all in service of creating an economically sustainable health care system. The expected hiring range for a Stop Loss Underwriting Specialist is $19.40 - $26.80/hour depending on skills, experience, education, and training; relevant licensure / certifications; and performance history.

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    Pharmacy Services Technician Cambia Health Solutions

    Pharmacy Services Technician
    Olympia, WA30+ days ago
    • Full-time
    • Employee

    Respond to non-clinical pharmacy issues from providers, pharmacy services staff, case managers, preauthorization nurses, ENCC personnel, government programs personnel, and customer service regarding formulary drug coverage, appeal and reconsideration claim status. * Prepare reconsideration requests for Clinical Pharmacy Consultant review by obtaining and organizing appropriate documentation including medical chart notes, reports, and medication profiles; communicate information and determinations to providers and members orally and through written documentation as necessary.

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    Pharmacy Services (Digital Support) Technician Cambia Health Solutions

    Pharmacy Services (Digital Support) Technician
    Olympia, WA30+ days ago
    • Full-time
    • Employee

    Responds to non-clinical pharmacy issues from providers, pharmacy services staff, case managers, preauthorization nurses, ENCC personnel, government programs personnel, and customer service, including formulary drug coverage, appeal and reconsideration claim status, and pricing for drug claims. * Prepares reconsideration requests for Clinical Pharmacy Consultant review by obtaining and organizing appropriate documentation, including but not limited to medical chart notes/reports and medication profiles, and communicates information and determinations to providers and members as necessary (orally and by written documentation).

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    Supervisor of Appeal Operations Cambia Health Solutions

    Supervisor of Appeal Operations
    Tacoma, WA30+ days ago
    Remote
    • Full-time
    • Employee

    Overseas and coordinates team activities to achieve business objectives and ensure the timely processing of member and provider claims and are in alignment with contract provisions, proper coding, policy or regulatory compliance across multiple lines of business, all in service of creating a person-focused health care experience. Develops and maintains desk reference guides on work procedures, ensures new hires complete necessary training, and assesses training needs while playing an active role in staff development.

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    Associate Utilization Review Specialist - Remote Providence St. Joseph Health

    Associate Utilization Review Specialist - Remote
    Renton, WA30+ days ago
    Remote
    • Full-time
    • Employee

    Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. Investigate, review, and prepare all requests for prior authorization review for all lines of business (LOB) in multiple applications (Facets, CIM, CareAdvance, etc.) while using multiple resources to support the review (Medical Policies, KMS, Benefit Grids, Handbooks, etc.).

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    Vice President Payment Integrity Cambia Health Solutions

    Vice President Payment Integrity
    Tacoma, WA30+ days ago
    • Full-time
    • Employee

    Minimum of 8-10 years of experience in business process design, improvement, and transformation within healthcare payment environments and a minimum of 12-15 years of progressive leadership experience in Healthcare Payment Integrity, Health Plan Claims, Health Plan Operations or related Healthcare management or an equivalent combination of education and experience. This position drives enterprise-wide strategic vision and execution across post-pay and pre-pay audit functions, provider-facing operations and advance analytics capabilities - all in service of creating an economically sustainable health care system.

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    Senior Business Analyst - Remote Providence St. Joseph Health

    Senior Business Analyst - Remote
    Renton, WA12 days ago
    Remote
    • Full-time
    • Employee

    Business Analyst will be assigned to one of the following areas based on number of years experience and education: Patient Yield/Front, Mid/Coding Metrics, Payer Yield/Denials, Vendor Performance, PB and/or Post Acute requiring minimal oversight. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.

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    Research Analyst - Medical Management, Remote Providence St. Joseph Health

    Research Analyst - Medical Management, Remote
    Renton, WA12 days ago
    Remote
    • Full-time
    • Employee

    Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. This role focuses on preventing and reducing unnecessary spending by scoping PI initiatives, analyzing claims data, developing a thorough implementation assessment plan, and collaborating with internal and external stakeholders to optimize the payment processes.

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    Revenue Specialist III, ROPS DaVita

    Revenue Specialist III, ROPS
    Federal Way, WA29 days ago
    • Full-time
    • Employee

    This position will also be responsible for implementing, designing, and providing support for business and administrative analytics within revenue cycle functional areas; develops reports with key performance indicators, metrics, data points, and formulas to support management objectives; determines how processes can be aligned with best practices to achieve optimal results, measurable change, and a quantifiable, positive contribution. We are seeking a revenue operations specialist to work closely with practices and leaders to investigate and design strategic initiatives in order to improve revenue cycle statistics, reporting capabilities, and overall performance.

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    PNW PACE Authorization Specialist MultiCare Health System

    PNW PACE Authorization Specialist
    Tacoma, WA25 days ago
    • Full-time
    • Employee

    Responsibilities include verification of insurance information (eligibility and benefits), referral management, submitting and monitoring of pre-authorizations, determines medical necessity and identifies any coverage concerns and works with providers and billing to resolve authorization denials. OR Graduate of a health vocational program such as Medical Assistant, or Medical Billing & Insurance, and 1-year experience in healthcare AND Minimum two (2) years of experience in dealing with the public in a customer service role.

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    Patient Authorization and Referral Representative- Sports Medicine Providence St. Joseph Health

    Patient Authorization and Referral Representative- Sports Medicine
    Renton, WA30+ days ago
    • Full-time
    • Employee

    Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

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    Risk Adjustment Provider Educator Cambia Health Solutions

    Risk Adjustment Provider Educator
    Renton, WA30+ days ago
    • Full-time
    • Employee

    What You Bring to Cambia: Qualifications: * Provider Education Coordinator would have a Bachelor's degree in a related field and at least 5 years of Medicare Advantage or Commercial risk adjustment experience including at least 4 years of experience in a HCC Coding Audit or Network Management role or equivalent combination of education and experience. What You Will Do at Cambia: * Develops, coordinates, and drives risk adjustment education initiatives with network providers and acts as primary point of contact for assigned key provider engagements across Commercial and Medicare lines of business.

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    Pediatric Prosthetist/Orthotist MultiCare Health System

    Pediatric Prosthetist/Orthotist
    Puyallup, WA30+ days ago
    • Full-time
    • Employee

    The LCPO provides advanced clinical assessment, design, fabrication oversight, fitting and outcome management for patients experiencing neuromuscular, musculoskeletal, congenital, traumatic, or disease-related impairments affecting the spine, skull, and upper and lower extremities. o Perform initial fittings, static and dynamic alignments, and functional assessments to evaluate device performance and ensure patient satisfaction and success.

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    Embedded Software Engineer II Blue Origin LLC

    Embedded Software Engineer II
    Renton, WA4 days ago
    • Full-time
    • Employee

    and/or transports placardable amounts of hazardous materials by ground in any vehicle on a public road while in commerce, may be subject to additional Federal Motor Carrier Safety Regulations including: Driver Qualification Files, Medical Certification (obtained before onboarding), Road Test, Hours of Service, Drug and Alcohol Testing (CDL drivers only), vehicle inspection requirements, CDL requirements (if applicable) and hazardous materials transportation/shipping training. ITAR RequirementsTo conform to U.S. Government commercial space technology export regulations, including the International Traffic in Arms Regulations (ITAR), 8 U.S.C. § 1324b(a)(3), applicants for employment at Blue Origin must be a U.S. citizen or national, lawfully admitted for permanent residence into the U.S. (i.e. current green card holder), or lawfully admitted as a refugee or granted asylum under 8 U.S.C. § 1157-1158.

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    Research Analyst - Remote Providence St. Joseph Health

    Research Analyst - Remote
    Renton, WA30+ days ago
    Remote
    • Full-time
    • Employee

    Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. This role focuses on preventing and reducing unnecessary spending by scoping PI initiatives, analyzing claims data, developing a thorough implementation assessment plan, and collaborating with internal and external stakeholders to optimize the payment processes.

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    Policy & Implementation Analyst or Sr. DOE Cambia Health Solutions

    Policy & Implementation Analyst or Sr. DOE
    Tumwater, WA12 days ago
    • Full-time
    • Employee

    Serves as primary support for CPT/HCPCS procedure and ICD-9/ICD-10 diagnosis coding questions across Cambia, ensuring decision-making related to coding is consistent, clinically appropriate and thoroughly documented. * Facilitates development, understanding and documentation of business requirements related to policy implementation, clinical editing, and reimbursement policy development including issue identification, research, approval, implementation, documentation and education.

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    Manager Claims - USFHP Providence St. Joseph Health

    Manager Claims - USFHP
    Renton, WA30+ days ago
    • Full-time
    • Employee

    This position is responsible for supporting timely, accurate claim processing for the Claims Department, for achieving and maintaining provider coding accuracy and completeness at the levels required by the Corporate Compliance Work Plan,and is responsible for the USFHP Records Management Program. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.

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    New!

    Medical Coding Auditor Evaluation & Management Humana

    Medical Coding Auditor Evaluation & Management
    Olympia, WA4 days ago
    Remote
    • $59,300–$80,900 Per Year

    Become a part of our caring community** The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. + Strong attention to detail **Preferred Qualifications** + 5 years post-certification experience auditing professional evaluation & management services - with a strong focus on professional fee inpatient services + Experience with electronic health records (EHR) and coding audit software.

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    Medical Review Nurse -UM/Post Appeals (Michigan RN license req) Molina Healthcare

    Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
    Tacoma, WA6 days ago
    • $29.05–$67.97 Per Hour

    Job Qualifications** **REQUIRED QUALIFICATIONS:** - At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. **Job Description** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.

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    Coder - Outpatient (Part-Time) Highmark Health

    Coder - Outpatient (Part-Time)
    Olympia, WA5 days ago

    5%) **QUALIFICATIONS:** Minimum + High School/GED + Successful completion of coding courses in anatomy, physiology and medical terminology + 1 year of Hospital and/or Physician Coding + 1 year coding at mid-level facilities or clinics + 1 year coding major surgeries, observations and/or E/Ms + Medical Terminology + Strong data entry skills + An understanding of computer applications + Ability to work with members of the health care team + Any of the following: + Registered Health Information Technician (RHIT) + Registered Health Information Associate (RHIA) + Certified Coding Specialist Physician (CCS-P) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + CPC-A Certified Professional Coder - Apprentice Preferred + Associate's Degree in Health Information Management or related field **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $21.97 **Pay Range Maximum:** $34.39 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.

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    Outpatient Coder PRN Datavant

    Outpatient Coder PRN
    Olympia, WA8 days ago
    Remote
    • $20–$35 Per Hour

    Proficiency with most or all of these coding specialties (Same Day Surgery, Observation, Injections/Infusions) + Proficiency with most or all of these coding specialties (Ancillary, Emergency Department, Injections/Infusions, E/M leveling) + Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills. The estimated base pay range per hour for this role is: $20-$35 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc.

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    Inpatient Audit Specialist FT Datavant

    Inpatient Audit Specialist FT
    Olympia, WA13 days ago
    Remote
    • $35–$45 Per Hour

    2,500 Sign on Bonus** ***** ****** As an **Inpatient Auditing Specialist** you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. What you will bring to the table: + 3+ years experience coding and auditing + Associate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AAPC with a preference for CCS + Preferred: CCS, RHIT, or RHIA credentials.

    N

    Third-Party Billing Revenue Cycle Manager Nisqually Indian Tribe

    Third-Party Billing Revenue Cycle Manager
    Olympia, WA14 days ago

    As a Third-Party Billing Revenue Cycle Manager, you will be managing the billing and collections team, ensuring timely generation of claims and collections of outstanding accounts receivable dollars from the existing client base, and all other aspects of collections, resolving insurance billing problems and reducing accounts receivable delinquency. While performing the duties of this position, the employee is frequently required to stand; walk; use hands to finger; handle; feel; or grip objects, stretch and/or reach with hands and arms; stoop; crouch or work in cramped or awkward positions; repetitive motions.

    S

    Billing Specialist I, II or III Sea Mar Community Health Centers

    Billing Specialist I, II or III
    Federal Way, WA30+ days ago
    • Full-time

    Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational services.

    C

    Clinical Supervisor III CCSWW

    Clinical Supervisor III
    University Place, Washington15 days ago
    • $99,750.14–$114,712.67 Per Year

    All treatment services and crisis services are provided under the supervision of the Clinical Supervisor must be documented per required timeframes, in accordance with federal Medicaid requirements and entered into Care Logic, the FBH Electronic Health Record (EHR), as well as medical EHR's of Managed Care Organizations (MCO's), Behavioral Health Organizations (BHO's), or others per contract requirements. Duties of this position include hiring and training, mentoring and motivating, clinical consultation, monitoring for safety, participating in leadership decisions, ensuring complete and accurate documentation, completing performance reviews, providing back-up coverage for staff, and working with and promoting positive relationships with community partners and natural supports.

    P
    New!

    HPC Software Engineer 3- Research Computing Pacific Northwest National Laboratory

    HPC Software Engineer 3- Research Computing
    Olympia, WA4 days ago

    Qualifications** Minimum Qualifications: + PhD and 1 year of Software Engineering experience -OR- + MS/MA and 3 years of Software Engineering experience -OR- + BS/BA and 5 years of Software Engineering experience -OR + AA and 14 years of Software Engineering experience in designing, architecting, programming, deploying, and automating software solutions in support of scientific research or consumer digital product development -OR- + HS/GED and 16 years of Software Engineering experience in designing, architecting, programming, deploying, and automating software solutions in support of scientific research or consumer digital product development Preferred Qualifications: + Experience with HPC software builders, such as Spack. **Rockstar Rewards** Employees and their families are offered medical insurance, dental insurance, vision insurance, robust telehealth care options, several mental health benefits, free wellness coaching, health savings account, flexible spending accounts, basic life insurance, disability insurance*, employee assistance program, business travel insurance, tuition assistance, relocation, backup childcare, legal benefits, supplemental parental bonding leave, surrogacy and adoption assistance, and fertility support.

    12

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